Gina Dorvil, RN
Individual provider Active NPI Registered Nurse · Roosevelt, NY
NPI 1427301985 · NPPES record last updated Oct 22, 2012
Key facts
- NPI
- 1427301985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 629546 (NY)
- Practice address
- 121 E Greenwich Ave
Roosevelt, NY 11575-1221 - Phone
- (516) 546-5901
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629546 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 629546 | NY | Yes |
Addresses
Primary practice location
121 E Greenwich Ave
Roosevelt, NY 11575-1221
Mailing address
121 E Greenwich Ave
Roosevelt, NY 11575-1221
Phone (516) 546-5901
Other providers in Roosevelt, NY
- Samuel Emmanuel Dickerson
- Diane Divergilio-Antonette
- Maxine Dixon Williams
- Doing It the Wright Way, Inc.
- Meredith Dooley
- Mark Dratch
- Drip With Gee
- Ann Dugue
- Dieudonne Dugue
- Durga Mata RX Inc
All providers in Roosevelt, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.